As I see it, they now have two options. 1) continue to refuse and be fined out of existence, and 2) close their doors immediately. Personally, I think that if all Catholic hospitals and nursing homes closed their doors immediately that would have more of an effect in waking people up to what is going on. To those who have eyes to see, that is.
Perhaps option 2, and then those who want to continue caring for the elderly could go to Jamaica or the Philippines or somewhere they’re not expected to kill.